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South Dakota rates for HCPCS A9577

Injection, gadobenate dimeglumine (MultiHance), per ml

Facilitymedian $2 · 10th–90th $1–$870%20%10th90th$2Professionalmedian $2 · 10th–90th $1–$20%20%40%10th90th$2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.82 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.82
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $1.86 / $1.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $2.29
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $2.95 / $6.31
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $1.74 / $1.91
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.09 / $2.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $1.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $2.40
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $1.82